Provider Demographics
NPI:1174928360
Name:UNIMAX CONSULTATION GROUP
Entity type:Organization
Organization Name:UNIMAX CONSULTATION GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER/FOUNDER
Authorized Official - Prefix:MR
Authorized Official - First Name:ILLYAS
Authorized Official - Middle Name:MALIK
Authorized Official - Last Name:JENKINS
Authorized Official - Suffix:
Authorized Official - Credentials:BA, QMHA
Authorized Official - Phone:702-218-6271
Mailing Address - Street 1:770 WEST LONE MOUNTAIN ROAD
Mailing Address - Street 2:1023
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89031
Mailing Address - Country:US
Mailing Address - Phone:702-218-6271
Mailing Address - Fax:
Practice Address - Street 1:770 WEST LONE MOUNTAIN ROAD
Practice Address - Street 2:1023
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89031
Practice Address - Country:US
Practice Address - Phone:702-218-6271
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-30
Last Update Date:2014-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation CounselorGroup - Multi-Specialty